MEDICARE: PATRICIA C KIRABO PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	13636	GA

General Provider Information

NPI Number	:	1568210219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA C KIRABO PA-C

Provider Business Mailing Address
First Line	:	1968 PEACHTREE RD NW BLDG 77
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-1281
Country	:	US
Telephone Number	:	404-605-4600
Fax Number	:	404-367-4447

Provider Business Practice Location Address
First Line	:	1968 PEACHTREE RD NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-1281
Country	:	US
Telephone Number	:	404-605-4600
Fax Number	:	404-367-4447

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2024
Last Update Date	:	03/10/2026

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